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Commission Remote Chart Review Nurse Jobs (NOW HIRING)

GuideWell

Concurrent Review Nurse

$71K - $115K/yr

Job Title CRN - Case Review Nurse The CRN is responsible for performing medical reviews using ... commission compensation. We also conduct regular annual reviews with pay for performance ...

Managed Staffing

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

HEDIS Quality Audit/HEDIS Quality Nurse Coordinator Location: 100% Remote (USA) Work Schedule ... The ideal candidates will review medical records, interpret clinical data, and ensure accurate ...

CERiS

Itemization Review Nurse II

Fort Worth, TX · Remote

$61K - $98K/yr

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ...

CoxHealth

Registered Nurse - Utilization Review

Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America ... Benefits | CoxHealth The Utilization Review Nurse RN collaborates with the physician and members of ...

Corvel

Itemization Review Nurse II

Fort Worth, TX · Remote

$61K - $98K/yr

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ...

RELI Group Inc.

Medical Review Nurse III

Baltimore, MD · On-site +1

$80K - $95K/yr

May be asked to assist with precepting of new Medical Review Nurses (MRNs). * Perform other duties ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

May be asked to assist with precepting of new Medical Review Nurses (MRNs). * Perform other duties ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

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How much do commission remote chart review nurse jobs pay per year?

As of Aug 10, 2026, the average yearly pay for commission remote chart review nurse in the United States is $84,575.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,000.00 and $99,500.00 per year, depending on experience, location, and employer.
What cities are hiring for Commission Remote Chart Review Nurse jobs? Cities with the most Commission Remote Chart Review Nurse job openings:
What are the most commonly searched types of Remote Chart Review Nurse jobs? The most popular types of Remote Chart Review Nurse jobs are:
What states have the most Commission Remote Chart Review Nurse jobs? States with the most job openings for Commission Remote Chart Review Nurse jobs include:
Commission Remote Chart Review Nurse jobs near you
Infographic showing various Commission Remote Chart Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $84,575 per year, or $40.7 per hour.

Utilization Review Nurse- Care Coordination Department

Vassar Brothers Medical Center

Poughkeepsie, NY • On-site, Remote

$48.49 - $73.58/hr

Full-time

Re-posted 26 days ago

Job description

Description
Position at Vassar Brothers Medical Center
Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees - including members of Northwell Health Physician Partners - who are working to change health care for the better.
Summary:
The Utilization Review Nurse is responsible for conducting timely, accurate, and comprehensive clinical reviews to ensure that patients receive the appropriate level of care in accordance with regulatory, payer and organizational guidelines. The Utilization Review Nurse applies evidence-based criteria to evaluate medical necessity and collaborates with physicians and interdisciplinary team members to reduce denials and ensure compliance with CMS and payer regulations.
Responsibilities:
1. Clinical Review & Level of Care Determination
  • Performs initial, concurrent, and discharge utilization reviews to determine the appropriate patient status (inpatient, observation, outpatient).
  • Applies InterQual, MCG, or payer-specific criteria in accordance with CMS regulations and the Two-Midnight Rule.
  • Collaborates with admitting providers to obtain timely admission orders and correct patient status when discrepancies arise.
  • Ensures MOON, IMN, HINN (etc.) notices are issued and documented per policy.
2. Payer Communication & Authorization Management
  • Conducts timely payer notifications with complete reviews and all supporting clinical documentation via fax or payer portal.
  • Provides clinical updates and facilitates peer-to-peer reviews as required.
  • Maintains documentation of all payer interactions in Cerner.
  • Securely maintains all relevant login credentials for all payer portals.
  • Demonstrates proficiency in navigating payer portals to efficiently retrieve and submit required data.
3. Collaboration with Clinical Team
  • Discusses cases with the attending MD when a clinical review does not meet inpatient medical necessity at the first-level review to obtain additional clinical information and documentation to support inpatient level of care; if the case still does not meet criteria, sends it to the Physician Advisor for a second-level review.
  • Forwards cases requiring secondary physician review to the appropriate resource (e.g., Physician Advisor).
  • Resolves discrepancies at the time of review or escalates unresolved issues to the Physician Advisor and departmental leadership.
  • Coordinates with the care team to change patient status as needed.
  • Notifies the care team when a patient does not meet medical necessity per InterQual, MCG guidelines, or the Two-Midnight Rule and escalates appropriately.
4. Compliance & Performance Standards
  • Adheres to all federal, state, payer, and hospital compliance requirements related to utilization management.
  • Maintains confidentiality of patient information in accordance with HIPAA.
  • Meets productivity standards, including review volume, timeliness, and documentation quality.
5. Hybrid Work Standards and Accountability
  • Adheres to the standards outlined in the Nuvance Health Remote Work Program Policy when utilizing a hybrid work arrangement.

Maintains and models organization values.
Demonstrates regular, reliable and predictable attendance.
Performs other duties as required.
Education Skills Experience:
Associate's degree in nursing
3 years experience in acute care or subacute care Nursing
3 years experience as Utilization Management Nurse in an acute care or subacute care setting preferred.
PREFERRED: Bachelor's degree or master's degree in nursing Current NYS RN License.
CCM/ACM Preferred
NYS PRI certification preferred; required within 60 days of hire. MCG Certification Preferred
Working Conditions
Derived Working Conditions
Essential:
* Significant manual skills / motor coord & finger dexterity
* Significant occupational risk
* Very Heavy effort. May exert up to 50 lbs. force
* Significant exposure to dirt, odor, noise, human waste, etc.
Company: Vassar Brothers Medical Center
Org Unit: 1190
Department: Care Coordination
Exempt: No
Hourly Rate: $48.49-$73.58

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